Individual
ALIYAH PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12700 SOUTHFORK RD STE 100, SAINT LOUIS, MO 63128-3201
(314) 543-5284
Mailing address
12700 SOUTHFORK RD STE 100, SAINT LOUIS, MO 63128-3201
(314) 543-5284
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2023040454
MO
363AS0400X
Surgical Physician Assistant
25MP00747900
NJ
Other
Enumeration date
12/15/2022
Last updated
08/19/2024
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